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Related Experiment Videos

Type V physeal injury: a case report.

D Keret1, A A Mendez, H T Harcke

  • 1Alfred I. duPont Institute, Wilmington, Delaware 19899.

Journal of Pediatric Orthopedics
|July 1, 1990
PubMed
Summary

This case report supports the Salter-Harris classification of type V physeal injury. It highlights asymmetric premature closure of the proximal tibial physis, suggesting diverse forces contribute to this specific injury.

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Area of Science:

  • Orthopedics
  • Pediatric Orthopedics
  • Skeletal Biology

Background:

  • The Salter-Harris classification system categorizes physeal (growth plate) injuries in children.
  • Type V physeal injuries are rare and their characteristics are debated.
  • Understanding physeal injury mechanisms is crucial for preventing long-term skeletal deformities.

Observation:

  • A case report details an injury to the proximal tibial physis.
  • The injury resulted in asymmetric premature physeal closure.
  • This closure was not initially suspected as a direct consequence of trauma.

Findings:

  • The observed asymmetric premature closure supports the Salter-Harris classification of type V physeal injury as a distinct entity.
  • Evidence suggests that varus, valgus, or shearing forces are significant etiological factors.

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  • Longitudinal compression alone may not fully explain the mechanism of type V injuries.

    • Implications:

    • This case reinforces the validity and clinical relevance of the Salter-Harris type V classification.
    • It emphasizes the need to consider diverse biomechanical forces in the diagnosis and management of physeal injuries.
    • Further research into the specific mechanisms of type V physeal injuries is warranted to optimize treatment strategies and predict outcomes.